Provider Demographics
NPI:1104065325
Name:CHEN, WEI
Entity type:Individual
Prefix:
First Name:WEI
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2575 S SYRACUSE WAY
Mailing Address - Street 2:F301
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-3832
Mailing Address - Country:US
Mailing Address - Phone:303-476-3555
Mailing Address - Fax:
Practice Address - Street 1:3615 S TAMARAC DR
Practice Address - Street 2:250
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-1421
Practice Address - Country:US
Practice Address - Phone:303-476-3555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-11
Last Update Date:2009-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1257171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist